Request for Membership to:
The Treasurer
The Wellington Aquarium & Water Garden Society (Inc)
c/o 3 Tolhurst Street, 
Johnsonville,
Wellington

 

Name: …………………………………………………………………………………………….

Address:..........................................................................................................................................

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Phone number: ………………………………………………………………………..

Email address: ……………………………………………………………………………........

Type of membership:   Senior $22.00     Family $23.00   Junior $5.00

Type of fish kept / interested in:   Marine     Reef   Coldwater    Native

   Tropical    Turtles   Pond    Plants

Please list some………………………………………………………………………………

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If a Family Membership, please list the names and relationship to you of the other people.

Name……………………………………………Relationship………..…………………………

Name……………………………………………Relationship…………………………………

Name……………………………………………Relationship…………………………………

Name……………………………………………Relationship…………………………………

Name……………………………………………Relationship…………………………………

 

Please complete even if you have membership now, it will help us to update our records, thank you.